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Individual

BRUCE ALLAN LUCAS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
740 SOUTH LIMESTONE, LEXINGTON, KY 40536-0001
(859) 257-3533
Mailing address
138 LEADER AVE, LEXINGTON, KY 40508-3215
(859) 257-7910
(859) 257-7899

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
17565
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64175656
KY
Enumeration date
05/04/2006
Last updated
07/08/2007
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